Provider Demographics
NPI:1740522739
Name:APPLIED BEHAVIOR TECHNOLOGIES, LLC
Entity type:Organization
Organization Name:APPLIED BEHAVIOR TECHNOLOGIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:775-354-1380
Mailing Address - Street 1:PO BOX 50843
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89435-0843
Mailing Address - Country:US
Mailing Address - Phone:775-354-1380
Mailing Address - Fax:775-354-1474
Practice Address - Street 1:5945 S LOS ALTOS PKWY STE 101
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-2503
Practice Address - Country:US
Practice Address - Phone:775-354-1380
Practice Address - Fax:775-354-1474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-18
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty